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Reconstitute pemetrexed for injection to achieve a concentration of 25 mg/mL as follows: Reconstitute each 100-mg vial with 4.2 mL of 0.9% Sodium Chloride Injection, USP (preservative-free) Reconstitute each 500-mg vial with 20 mL of 0.9% Sodium Chloride Injection, USP (preservative-free) Reconstitute each 1,000-mg vial with 40 mL of 0.9% Sodium Chloride Injection, USP (preservative-free) Do not use calcium-containing solutions for reconstitution

This includes pharmaceutical-grade compound from a licensed 503A compounding pharmacy, medical oversight, a personalized dosing protocol, and monitoring

A lower price does not always mean better value if the support and guidance are limited

The most commonly reported side effect is mild injection site irritation in the early weeks, which typically resolves